Network analysis of anxiety, depression and perceived stress with eating behaviors in adolescents

HE Jingbo; ZHANG Yiyang; LIAO Baoyi; DENG Xianxian; SUN Mingjun; ZHANG Ziyi; WU Yankun; XIE Jiahong; YAO Yisong; YONG Na

doi:10.16835/j.cnki.1000-9817.2025185

Volume 46 Issue 6

Jun. 2025

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2025 > 46(6): 821-826

HE Jingbo, ZHANG Yiyang, LIAO Baoyi, DENG Xianxian, SUN Mingjun, ZHANG Ziyi, WU Yankun, XIE Jiahong, YAO Yisong, YONG Na. Network analysis of anxiety, depression and perceived stress with eating behaviors in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(6): 821-826. doi: 10.16835/j.cnki.1000-9817.2025185

Citation:

HE Jingbo, ZHANG Yiyang, LIAO Baoyi, DENG Xianxian, SUN Mingjun, ZHANG Ziyi, WU Yankun, XIE Jiahong, YAO Yisong, YONG Na. Network analysis of anxiety, depression and perceived stress with eating behaviors in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(6): 821-826. doi: 10.16835/j.cnki.1000-9817.2025185

Citation:

HE Jingbo, ZHANG Yiyang, LIAO Baoyi, DENG Xianxian, SUN Mingjun, ZHANG Ziyi, WU Yankun, XIE Jiahong, YAO Yisong, YONG Na. Network analysis of anxiety, depression and perceived stress with eating behaviors in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(6): 821-826. doi: 10.16835/j.cnki.1000-9817.2025185

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Network analysis of anxiety, depression and perceived stress with eating behaviors in adolescents

doi: 10.16835/j.cnki.1000-9817.2025185

Mental Health Center, Affiliated Hospital of North Sichuan Medical College, Nanchong (637000), Sichuan Province, China

Received Date: 2025-02-17
Rev Recd Date: 2025-04-12

Available Online: 2025-07-04

Publish Date: 2025-06-25

Abstract

Abstract

Objective To explore the network structure of eating behaviors with anxiety, depression and perceived stress in adolescents, so as to provide a basis for effective prevention and intervention of eating behavior problems and negative emotions in adolescents. Methods Based on the Psychology and Behavior Investigation of Chinese Residents (2021) database, the study was conducted among 3 087 adolescents. Sakata Eating Behavior Scale Short From(EBS-SF) was used to investigate their eating behaviors. The Patient Health Questionnaire-9(PHQ-9), Generalized Anxiety Disorder Scale-7 Item(GAD-7), and Perceived Stress Questionnaire-3 Item (PSQ-3) were used to evaluate their depression, anxiety and perceived stress. Network analysis method was applied to construct a network of eating behaviors and negative emotional symptoms among adolescents, so as to evaluate the centrality, bridge strength, stability and accuracy of each item. Results The total scores of eating behaviors, depression, anxiety and stress perception in adolescents were 17.41±4.53, 6.95±6.08, 4.86±5.03, 9.34±3.80, respectively. The symptom with the highest intensity and expected impact was "I am only satisfied when I buy more food than I need", with a node intensity and expected impact value of 4.37. The nodes Depression and Anxiety were the most closely connected(weight=0.87). There were no statistically significant differences in the network structure(M=0.13, 0.11) and network connection strength(female and male: 4.16, 4.06, s=0.10;urban and rural areas: 4.08, 4.07, s=0.01) between different sexes and residents (P>0.05). Conclusion The negative impact of comorbidities such as anxiety, depression, perceived stress and eating behaviors among adolescents can be reduced through targeted prevention and intervention of core symptoms and bridging symptoms.
- Anxiety,
- Depression,
- Pressure,
- Food habits,
- Mental health,
- Adolescent

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References(34)

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